Individual
BREANNA ELIZABETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-3145
(315) 464-3134
Mailing address
110 HERKIMER ST, APARTMENT A, SYRACUSE, NY 13204-1712
(607) 351-2032
(315) 464-3134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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